| NPI | 1609215771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME122563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 122563) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2024-08-23 |