| NPI | 1962449900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI MD13236) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 54366) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-11-16 |