| NPI | 1003009358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME156193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125050331) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 70364) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2023-05-25 |