| NPI | 1518055342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME99154) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD445890) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD445890) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-07-23 |