| NPI | 1619026770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME98323) |
| Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: FL ME98323) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2025-03-12 |