| NPI | 1629207477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2016023781) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35129185) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036143069) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2022-04-01 |