| NPI | 1003256157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 61034) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 61034) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E-12922) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD218857) | |
| 207R00000X Internal Medicine (Licence: OR MD218857) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD218857) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E-12922) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2025-06-24 |