| NPI | 1427409317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 5101022723) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 80091-021) |
| 207R00000X Internal Medicine (Licence: MI 5101022723) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2026-07-13 |