| NPI | 1134314511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AR E5516) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AR T2007-145) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2013-02-05 |