| NPI | 1952892796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 1952892796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 1952892796) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2026-07-10 |