| NPI | 1700235405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL 165036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 165036) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL 165036) | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2025-10-02 |