| NPI | 1619971538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A90923) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90923) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A90923) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2025-06-10 |