| NPI | 1356596696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME138892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2018-01748) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 255995) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2018-01748) | |
| 207R00000X Internal Medicine (Licence: FL ME138892) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2024-02-09 |