| NPI | 1194188540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 71247) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301118902) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.148128) | |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2024-09-24 |