| NPI | 1780562694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME182410) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 1025369) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 1025369) | |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2026-07-16 |