| NPI | 1043637044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301503733) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.064409) |
| 207R00000X Internal Medicine (Licence: TX R8885) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301503733) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2023-09-28 |