| NPI | 1821095860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 15607R) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 15607R) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 23173) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 23173) | |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2017-05-11 |