| NPI | 1982964870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME141430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01080409A) |
| 207R00000X Internal Medicine (Licence: FL TRN17548) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01080409A) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2019-08-01 |