| NPI | 1679135099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 73422) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 73422) |
| 207R00000X Internal Medicine (Licence: MI 4301507217) | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2026-06-16 |