| NPI | 1982609467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME66235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME66235) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME66235) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2020-11-30 |