| NPI | 1649255241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 25659) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: AZ 25659) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AZ 25659) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 25659) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2025-10-28 |