| NPI | 1366595324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 105154) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 17514) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 17514) | |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2025-07-23 |