| NPI | 1356487656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A44340) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A44340) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-10-22 |