| NPI | 1164918116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 60416) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301114556) |
| 207R00000X Internal Medicine (Licence: KY 60416) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 60416) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2025-05-05 |