| NPI | 1356500854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME138838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA AS 4148501 E-64) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 076669) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2023-03-20 |