| NPI | 1013110881 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P5086) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 10108511-1205) | 
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 10108511-1205) | |
| Enumeration Date | 2007-06-07 | 
| Last Update Date | 2025-09-29 |