| NPI | 1780047183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD223312) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D89233) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2025-08-19 |