| NPI | 1598943516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 75378) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036167956) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX W2882) | |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2026-03-20 |