| NPI | 1497917744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME143336) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01068916A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME143336) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2026-04-30 |