| NPI | 1619912136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 19940) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 19940) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2014-12-03 |