| NPI | 1003234337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME149527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT205562) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD474214) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2023-09-19 |