| NPI | 1568434553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME152712) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD072834L) |
| 207R00000X Internal Medicine (Licence: FL ME152712) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME152712) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2023-01-17 |