| NPI | 1154379048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME93151) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME93151) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME93151) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2015-10-01 |