| NPI | 1124087655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 018588) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 018588) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 018588) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2010-02-19 |