| NPI | 1255455929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD155778) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD.MD.61471509) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD.MD.61471509) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD155778) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2026-07-16 |