| NPI | 1275516890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P3060) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA G69362) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G69362) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P3060) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2012-08-28 |