| NPI | 1811128739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 54751) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 54751) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101286831) | |
| 207R00000X Internal Medicine (Licence: MA 241730) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101286831) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2025-10-21 |