| NPI | 1962909952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD225793) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD225793) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0146781) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ R80746) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD225793) | |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2025-07-09 |