| NPI | 1568466365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M3100) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX M3100) |
| 207U00000X Nuclear Medicine (Licence: TX M3100) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2025-04-21 |