| NPI | 1003874439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 1856111205) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 42342) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-12-02 |