| NPI | 1477644649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101285603) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 153001) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 74764) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101285603) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 74764) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2026-03-16 |