| NPI | 1275981615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 9534TEP) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R8207) |
| 207R00000X Internal Medicine (Licence: TX BP10057605) | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2023-08-14 |