| NPI | 1033425087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX S0909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266935) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: MS 26033) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CO DR.0062918) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: LA MD.206853) | |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2024-06-03 |