| NPI | 1902292683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 90643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2021-01247) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 90643) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2025-03-31 |