| NPI | 1831362300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E-8585) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 44196) |
| 207R00000X Internal Medicine (Licence: OH 35.095120) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 59551) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 59551) | |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2016-05-16 |