| NPI | 1386669489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G29295) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA G29295) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-03-18 |