| NPI | 1073877098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 5101019832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019832) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101019832) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2023-10-17 |