| NPI | 1609001262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 27045) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD61626046) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD223517) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2025-05-28 |