| NPI | 1417968314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD0000028889) |
| Additional Taxonomies | 246XC2901X Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist (Licence: TN MD0000028889) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-09-13 |