| NPI | 1497841795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A119955) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD425449) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A119955) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: IA MD-41030) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2019-10-29 |