| NPI | 1205009891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2014-01190) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-01190) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NC 2014-01190) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NC 2014-01190) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2025-08-20 |