| NPI | 1578738639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101260623) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 141974) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: VA 0101260623) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2010-00589) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101260623) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2026-04-30 |