| NPI | 1902127228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME142211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 16573) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME142211) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2026-05-18 |