| NPI | 1841491503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME107417) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME107417) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME107417) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35.123904) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-09-27 |