| NPI | 1124235536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 69351) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC LL34429) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 69351) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2021-03-15 |