| NPI | 1033297031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME124405) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 63546) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-11-23 |