| NPI | 1730740838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX W5146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04758) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301513461) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2022027873) | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2026-06-10 |