| NPI | 1689629057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A93684) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A93684) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD034206) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2025-02-27 |