| NPI | 1851739957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME140611) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301102638) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 96274) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2025-01-31 |