| NPI | 1851557136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME158140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054019) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 261990) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2022-08-10 |