| NPI | 1235390535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME130392) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2010-02070) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME130392) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2021-01-11 |