| NPI | 1154323996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A70917) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A70917) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA A70917) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2024-01-24 |