| NPI | 1427286681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R8644) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2018010080) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA DO-04108) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2020-04-06 |