| NPI | 1104824861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME88082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME88082) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME88082) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2024-01-19 |