| NPI | 1558553552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101253238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2007-01180) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD436923) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2023-03-16 |