| NPI | 1891020079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL OS11403) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 31716) |
| 207R00000X Internal Medicine (Licence: FL UO2264) | |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2024-09-09 |