| NPI | 1912910621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PR 15117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 15117) |
| 207R00000X Internal Medicine (Licence: CA A104101) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 15117) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-10-11 |