| NPI | 1285955955 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P7182) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10036771) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P7182) | |
| Enumeration Date | 2010-06-17 | 
| Last Update Date | 2025-04-28 |