| NPI | 1669854295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 1532) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 1532) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA OP61598025) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2025-10-16 |