| NPI | 1295984748 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME146673) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A114658) | 
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A114658) | |
| Enumeration Date | 2008-09-09 | 
| Last Update Date | 2020-11-17 |