| NPI | 1750733887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 95955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 78859) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 78859) | |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2025-12-08 |