| NPI | 1851670608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME147437) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 56950) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 56950) | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2022-10-05 |