| NPI | 1396277943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 14206377-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60970409) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60970409) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-03-11 |