| NPI | 1265861769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PR 18934) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18934) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 18934) | |
| 208D00000X General Practice (Licence: PR 18934) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2024-08-14 |