| NPI | 1801922521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A68391) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A68391) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-11-09 |