| NPI | 1205009891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2014-01190) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NC 2014-01190) |
| 207R00000X Internal Medicine (Licence: NC 2014-01190) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2014-01190) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2024-04-24 |