| NPI | 1457336984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME160952) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 56894) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 67655) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2025-05-21 |