| NPI | 1578872487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME165319) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 254528) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY TP441) | |
| 207R00000X Internal Medicine (Licence: TX BP10036946) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2024-03-18 |