| NPI | 1669793253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 510108678) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018678) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101018678) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2021-02-24 |