| NPI | 1417136243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D0070098) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: DC MD600004184) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2025-12-01 |