| NPI | 1689014284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 282899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256984) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2022-03-10 |