| NPI | 1518319656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2025036172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD468146) |
| 207R00000X Internal Medicine (Licence: PA MT211800) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2025-10-06 |