| NPI | 1922483841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL OS13153) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS13153) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2020-04-06 |