| NPI | 1043203268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PR 13945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 13945) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 13945) | |
| 207R00000X Internal Medicine (Licence: CA A108604) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2010-08-06 |