| NPI | 1649731183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 54169) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me162018) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2026-08-19 |