| NPI | 1346636222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 91309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107339) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 91309) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 91309) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2024-03-16 |