| NPI | 1063724326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME153404) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME153404) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 305013) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2026-08-04 |