| NPI | 1437582202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0068507) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 13731A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5315215936) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY 13731A) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0068507) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY tl6623) | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2022-11-08 |