| NPI | 1447241922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 56240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 56240) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 56240) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2010-05-26 |