| NPI | 1205019650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR DO180680) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0063817) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2025-05-08 |