| NPI | 1154482842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101241351) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 86179) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101241351) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2025-10-09 |