| NPI | 1588646616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CT 032799) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: HI MD-25322) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2025-04-02 |