| NPI | 1285672626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 33752) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33752) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2026-05-18 |