| NPI | 1366784670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME158589) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 73295) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 66394) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME158589) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2024-01-12 |