| NPI | 1962505206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME122135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 19901) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME122135) | |
| 207R00000X Internal Medicine (Licence: KY 39837) | |
| 207R00000X Internal Medicine (Licence: FL ME122135) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-01-24 |