| NPI | 1619178258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 82435) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 74603) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND 13000) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2026-03-31 |