| NPI | 1558371922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 43776) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 032244) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 43776) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-06-30 |