| NPI | 1649425430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 97466) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 50166) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 50166) | |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2023-10-06 |