| NPI | 1750508966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 6144) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PR 6144) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PR 6144) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-02-10 |