| NPI | 1982781191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A88417) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA BH8942814) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A88417) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-04-05 |