| NPI | 1184846289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME174311) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101245043) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME174311) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2025-09-26 |