| NPI | 1508094210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301094988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 43010949888) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2021-12-14 |