| NPI | 1215378146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AL 43181) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AL 43181) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2022-01-10 |