| NPI | 1164798153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A154499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A154499) |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2023-09-21 |