| NPI | 1255642393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME150877) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01083100A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME150877) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2022-01-19 |