| NPI | 1730506866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME154453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35130474) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2022-06-14 |