| NPI | 1396004099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 39) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 14101843-1235) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2024-10-02 |