| NPI | 1043586159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S0862) |
| Additional Taxonomies | 2086S0129X (Licence: TX S0862) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S0862) | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2025-12-09 |