| NPI | 1275816654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A143266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A143266) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A143266) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CA A143266) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2022-10-28 |