| NPI | 1922285337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 50148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125048967) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 50148) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2019-10-28 |