| NPI | 1174872253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX P3357) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX P3357) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2015-01-27 |