| NPI | 1548258635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2025-00085) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 030860) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD-8638) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2025-00085) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 030860) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2025-02-11 |