| NPI | 1720469851 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2016034283) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016034283) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2016034283) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MO 2016034283) | |
| Enumeration Date | 2015-06-15 | 
| Last Update Date | 2025-04-17 |