| NPI | 1144539453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246X00000X Spec/Tech, Cardiovascular |
| Additional Taxonomies | 246W00000X Technician, Cardiology |
| 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist | |
| 246XS1301X Spec/Tech, Cardiovascular, Sonography | |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-11-19 |