| NPI | 1376781419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A103399) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A103399) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A103399) | |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2015-03-10 |