| NPI | 1720440266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL UO8843) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 82651) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR PG199414) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2023-06-13 |