| NPI | 1184883217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D84713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D84713) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D84713) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2018-08-14 |