| NPI | 1851787766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 103448) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D93367) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 103448) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 103448) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2025-07-31 |