| NPI | 1417117581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A112871) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A112871) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T3882) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2025-10-31 |