| NPI | 1962736801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME124094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 29796) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2016-03-18 |