| NPI | 1588711899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: DC MD036347) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: DC MD036347) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-10-16 |