| NPI | 1013993930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 42267) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 86062) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 42267) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2025-10-27 |