| NPI | 1013358167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101270685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 61856) |
| 207R00000X Internal Medicine (Licence: MD P28825) | |
| 207R00000X Internal Medicine (Licence: VA 0101270685) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101270685) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 61856) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 61856) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2024-12-12 |