| NPI | 1184816316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA C157588) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: HI MD 14482) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: HI MD 14482) | |
| Enumeration Date | 2007-08-12 |
| Last Update Date | 2020-06-23 |