| NPI | 1194959098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MD D76377) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MD D76377) |
| 207R00000X Internal Medicine (Licence: MD D76377) | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2016-10-13 |