| NPI | 1326019142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 55032) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 44784) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101230963) | |
| 207R00000X Internal Medicine (Licence: DC MD32922) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0062679) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 44784) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD435987) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2025-09-22 |