| NPI | 1316060619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 41503) |
| Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: AZ 41503) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 41503) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-07-27 |