| NPI | 1538143219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R5124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R5124) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO R5124) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2008-08-07 |