| NPI | 1225246358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 232945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432147) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 232945) | |
| 207R00000X Internal Medicine (Licence: PA MT183374) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2026-09-29 |