| NPI | 1902283286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: GA 93294) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MB10344900) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2023-12-14 |