| NPI | 1477988897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL OS13316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO3069) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2026-02-25 |