| NPI | 1629575147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A195877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072697) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.156905) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL A195877) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A195877) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-06-24 |