| NPI | 1356761696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2025007618) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E-12826) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ R76218) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2025007618) | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2026-06-30 |