| NPI | 1598106841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2013018531) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME174614) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2025-07-03 |