| NPI | 1982631750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME38195) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35047343) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA a36621) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |