| NPI | 1235615097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 71870) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 36918) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2026-05-08 |