| NPI | 1306178256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME156847) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.129093) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.129093) | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2023-10-23 |