| NPI | 1235114315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PR 11988) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 11988) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2016-12-21 |