| NPI | 1508391350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2025-02214) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 67402) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 67402) | |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2025-08-05 |