| NPI | 1891083812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 006643) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS11212) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB09443300) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 006643) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2016-07-11 |