| NPI | 1811944184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-07-08 |