| NPI | 1598029233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY TP751) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP751) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 277827) | |
| 207R00000X Internal Medicine (Licence: FL TRN17710) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2022-06-15 |