| NPI | 1659711554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 55361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 55361) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 55361) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A160370) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2022-09-07 |