| NPI | 1932356961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: DC MID041572) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: DC MID041572) |
| 207R00000X Internal Medicine (Licence: DC MID041572) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2013-08-21 |