| NPI | 1588876585 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 1019737) | 
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 1019737) | 
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 308772) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A95498) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 308772) | |
| Enumeration Date | 2007-05-04 | 
| Last Update Date | 2024-06-06 |