| NPI | 1508814906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL OS13436) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA OS010177L) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS13436) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2026-07-29 |