| NPI | 1811150881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301097629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055096) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301097629) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2015-06-19 |