| NPI | 1316908775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A102299) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 44646) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101241881) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2010-01-29 |