| NPI | 1770513723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A53825) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A53825) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2015-12-17 |