| NPI | 1235591215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME166551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.069249) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.135677) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-03-24 |