| NPI | 1508048158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME101406) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01056048A) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2008003418) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2018-04-02 |