| NPI | 1033147517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX M7590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 226624) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M7590) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX M7590) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2017-04-27 |