| NPI | 1104847623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 72057) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101046270) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101046270) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-02-28 |