| NPI | 1649355470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MD D56721) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MD D56721) |
| 207RM1200X Internal Medicine Magnetic Resonance Imaging (MRI) (Licence: MD D56721) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |