| NPI | 1932153376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: LA MD12260R) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA MD.12260R) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2015-03-05 |