| NPI | 1376558239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA 00C512320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 00C51232D) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2008-06-05 |