| NPI | 1821005349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 6359033-1205) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 6359033-1205) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-11-13 |