| NPI | 1184840506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 46010) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.010937) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 46010) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-08-05 |