| NPI | 1174788665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A105559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A105559) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A105559) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2024-05-03 |