| NPI | 1457687584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301083919) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301083919) |
| 282N00000X General Acute Care Hospital (Licence: MI 4301083919) | |
| Enumeration Date | 2009-10-24 |
| Last Update Date | 2018-04-23 |