| NPI | 1801892666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA C169480) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 194881) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2003007036) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2025-10-24 |