| NPI | 1265743686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD494209) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD187720) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD187720) | |
| 207R00000X Internal Medicine (Licence: OR MD187720) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD494209) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD494209) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2026-06-01 |