| NPI | 1770107443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA R-13705) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351046491) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2026-07-17 |