| NPI | 1164431284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2018-01920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME96490) |
| 207R00000X Internal Medicine (Licence: MN 52266) | |
| 207R00000X Internal Medicine (Licence: MN 104267) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2024-01-29 |