| NPI | 1447295324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D64943) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 11895) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 11895) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D64943) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-02-10 |