| NPI | 1194987164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0061576) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P6794) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P6794) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-07-11 |