| NPI | 1811916414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME88310) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD202546) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0088310) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-07-21 |