| NPI | 1003121401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S2383) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 15015) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD458003) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL TRN18244) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2021-12-02 |