| NPI | 1487060828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2024027949) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 66492) |
| 207R00000X Internal Medicine (Licence: MA 273136) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2026-05-06 |