| NPI | 1780918946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301502268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD040741) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2021-10-29 |