| NPI | 1386949063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD441762) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD441762) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 39864) | |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2020-02-21 |