| NPI | 1740286814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 589) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 37558) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01056916A) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 37558) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101263100) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2024-04-22 |