| NPI | 1366962177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NH 25494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272851) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-06-19 |