| NPI | 1134564347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A132368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A132368) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2020-09-30 |