| NPI | 1518125962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J4425) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX J4425) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD151160) | |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2024-06-04 |