| NPI | 1124064092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA 06730R) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: LA 06730R) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-10-14 |