| NPI | 1710062732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME107916) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 31078) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-03-19 |