| NPI | 1144563792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 35236) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301514811) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2025-12-15 |