| NPI | 1821058819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME173140) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036076700) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 4555) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036076700) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2026-03-06 |