| NPI | 1861888950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 332930) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO CDR.0007002) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO CDR.0007002) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2026-06-01 |