| NPI | 1518960970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MD D0060393) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MD D0060393) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-07-08 |