| NPI | 1144204769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01053109A) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036-098182) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01053109A) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2025-12-15 |