| NPI | 1912306895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 39826) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2023029639) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2023029639) | |
| Enumeration Date | 2014-08-17 |
| Last Update Date | 2026-09-09 |