| NPI | 1447696737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 5101020429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315059614) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101020429) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2020-11-19 |