| NPI | 1154584589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2008-01157) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2008-01157) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2023-11-27 |