| NPI | 1477872885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME139953) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 272390) |
| 208600000X Surgery (Licence: PA MT197908) | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2023-08-03 |