| NPI | 1619170347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX M6641) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX M6641) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101230320) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M6641) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2026-04-14 |