| NPI | 1710399613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME137480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0087114) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0087114) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2024-10-17 |