| NPI | 1073966982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME163288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068348) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2023-10-17 |