| NPI | 1093701120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME78128) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 24558) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: AL 24558) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 24558) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2026-03-04 |