| NPI | 1568401248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME83454) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME83454) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-01-25 |