| NPI | 1346774205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME174655) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2024-01016) |
| 207R00000X Internal Medicine (Licence: NC 2024-01016) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2024-01016) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2025-09-05 |