| NPI | 1316186331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME101779) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME101779) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME101779) | |
| Enumeration Date | 2009-02-14 |
| Last Update Date | 2015-11-30 |