| NPI | 1982617072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME63964) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0063964) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2024-04-01 |