| NPI | 1558595108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2012-01404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-01404) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2022-09-14 |