| NPI | 1982085106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 71899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN# 23648) |
| 207R00000X Internal Medicine (Licence: MI 4301119237) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 71899) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2024-07-26 |