| NPI | 1174843403 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0060650) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R72123) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 76409) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0060650) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ R72123) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 4146) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CO DR.0060650) | |
| Enumeration Date | 2010-06-09 | 
| Last Update Date | 2025-05-16 |