| NPI | 1326297813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME117201) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME117201) |
| 207R00000X Internal Medicine (Licence: PA MD443202) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME117201) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2021-06-03 |