| NPI | 1962586289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2007016520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007016520) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO 2007016520) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-12-16 |