| NPI | 1528350543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME119476) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME19476) |
| 207R00000X Internal Medicine (Licence: FL ME119476) | |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2020-09-21 |