| NPI | 1861812612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A140612) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 152784) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA a140612) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX t5968) | |
| Enumeration Date | 2014-04-20 |
| Last Update Date | 2026-07-06 |