| NPI | 1821277724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 52255-20) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2013-01984) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2013-01984) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 52255-20) | |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2025-10-07 |