| NPI | 1205331907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME178079) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD500003200) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME178079) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2026-04-02 |