| NPI | 1881795730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 258103) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NM MD2015-0931) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101260377) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-03-28 |