NPI | 1326333246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME112226) |
Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: FL ME112226) |
261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities (Licence: FL ME112226) | |
Enumeration Date | 2011-06-20 |
Last Update Date | 2022-10-20 |