| NPI | 1811994429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 21578) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 21578) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO CDR.0005272) | |
| Enumeration Date | 2005-06-29 |
| Last Update Date | 2026-04-17 |