| NPI | 1588975643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 54078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 258477) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 54078) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2020-07-17 |