| NPI | 1114150257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101279579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-00985) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 284258) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 284258-1) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2024-05-28 |