| NPI | 1053546846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: VA 0101251936) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101251936) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2025-04-29 |