| NPI | 1467643213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME117537) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PR 17850) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2026-07-08 |