| NPI | 1225063324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB05967200) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25mb05967200) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25mb05967200) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY C4853) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY C4853) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2026-02-06 |