| NPI | 1306093588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AL MD.31506) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AL MD.31506) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AL 31506) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2023-06-30 |