| NPI | 1740336908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME 91828) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME 91828) |
| 207R00000X Internal Medicine (Licence: FL ME 91828) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2006-01510) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2006-01510) | |
| 207R00000X Internal Medicine (Licence: NC 2006-01510) | |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2015-02-17 |