| NPI | 1790131779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME171551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016018870) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.152637) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2025-08-04 |