| NPI | 1801908017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 101824) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-21576) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 101824) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD491297C) | |
| 207R00000X Internal Medicine (Licence: MO 101824) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2025-10-13 |