| NPI | 1447694252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 83755) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 29844) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 83755) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2025-12-08 |