| NPI | 1427044502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME64797) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ME MD25036) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2022-04-28 |