| NPI | 1922031806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA C52498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA c52498) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-04-03 |