| NPI | 1225246358 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 232945) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT183374) | 
| 207R00000X Internal Medicine (Licence: PA MD432147) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 232945) | |
| Enumeration Date | 2007-05-21 | 
| Last Update Date | 2023-12-26 |