| NPI | 1689692055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 032832) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 032832) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CT 032832) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-07-01 |