| NPI | 1730746801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2026013582) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-49855) |
| 207R00000X Internal Medicine (Licence: IA R-11485) | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2026-06-23 |