| NPI | 1689838542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD61514914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054438) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: UT 13343281-1205) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 251336) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NV 16596) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2025-06-12 |