| NPI | 1336138536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME95617) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME95617) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME95617) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME95617) | |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2016-05-12 |