| NPI | 1255325254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101041337) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0057329) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D0057329) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101041337) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2025-08-09 |