| NPI | 1164899167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME162086) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 286695) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2023-09-07 |