| NPI | 1588647416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 39810) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 218813) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 39810) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 218813) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2026-03-19 |