| NPI | 1124434360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX V2431) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-48324) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-48324) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2025-04-21 |