| NPI | 1467453696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME61490) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MED-PHYS-LIC-160201) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME61490) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2025-07-14 |