| NPI | 1881041358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL 164016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 164016.) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL 164016.) | |
| Enumeration Date | 2016-05-15 |
| Last Update Date | 2023-07-31 |