| NPI | 1316129661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 72228) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 072228) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 072228) | |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2019-04-26 |