| NPI | 1922272228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 11837) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-129325) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 131469) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35129325) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND 11837) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2025-06-05 |