| NPI | 1356847651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2025010398) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2025010398) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.173425) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036.173425) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2025-08-19 |