| NPI | 1093196065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VT 042.0018769) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 274161) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 338965) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 274161) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 338965) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VT 042.0018769) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2025-08-07 |