| NPI | 1134615669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI MD20508) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD20508) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 1022911) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2026-05-06 |