| NPI | 1376741736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL OS18319) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 000411) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS18319) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 000411) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2026-01-09 |