| NPI | 1619049418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA G47270) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G47270) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |