| NPI | 1073771309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101268525) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NC 2009-00668) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2023-02-15 |