| NPI | 1215198619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 33268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 33268) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 33268) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2021-12-17 |