| NPI | 1306942578 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 200100363)  | 
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 200100363)  | 
| Enumeration Date | 2006-09-15 | 
| Last Update Date | 2024-10-03 |