| NPI | 1528093168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME0031576) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0031576) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-02-18 |