| NPI | 1194940593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ME MD22511) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MA 254254) |
| 282N00000X General Acute Care Hospital (Licence: MA 225066) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 254254) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-02-06 |