| NPI | 1790275139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ME MD30121) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD30121) |
| 207R00000X Internal Medicine (Licence: ME MD30121) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI MD20587) | |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2026-03-05 |