| NPI | 1659696136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME142908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-051072) |
| 207R00000X Internal Medicine (Licence: OH 35-095464) | |
| 207R00000X Internal Medicine (Licence: FL ME142908) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-095464) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME142908) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35095464) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2025-01-24 |