| NPI | 1588657811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2002015751) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2002015751) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: HI MD-24930) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2025-05-01 |