| NPI | 1427272673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 48497) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 48497) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY TP640) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2025-08-07 |