| NPI | 1679529135 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2020-04809) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2020-04809) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01071763A) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036125795) | |
| Enumeration Date | 2006-05-26 | 
| Last Update Date | 2025-05-09 |