| NPI | 1023070711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA MD.208039) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101043891) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: LA MD.208039) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: VA 0101043891) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2015-07-06 |