| NPI | 1295937431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI MD13551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01141) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2022-10-19 |