| NPI | 1912214347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C158790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C158790) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA C158790) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA C158790) | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2021-09-13 |