| NPI | 1679570873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD20641) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 66755) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD20641) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2023-11-16 |