| NPI | 1821006503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PR 8069) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: PR 8069) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2019-05-16 |