| NPI | 1124542014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D0102204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA TMD004936) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2025-07-19 |