| NPI | 1174528905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CT 36358) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CT 036358) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2015-01-16 |