| NPI | 1598178535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME146302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME146302) |
| 207R00000X Internal Medicine (Licence: PR 13,715-I) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 305912) | |
| 207R00000X Internal Medicine (Licence: NY 305912) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PR 19910) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME146302) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: WI 84659) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 305912) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2024-10-30 |