| NPI | 1528355138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NE 28311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 28311) |
| 207R00000X Internal Medicine (Licence: NE TEP 6512) | |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2020-03-13 |