| NPI | 1265896443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ID 2181328) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101266198) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101266198) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2026-10-13 |