| NPI | 1053397810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MA 272609) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 272609) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NH 11310) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: MA 272609) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2018-04-06 |