| NPI | 1568490464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101221421) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 31610) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101221421) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 31610) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35C.000773) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2025-12-12 |