| NPI | 1881676435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301039889) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME0097328) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301039889) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2023-10-03 |