| NPI | 1053312413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: DC MD500002482) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35084762) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35084762) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S9856) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-12-11 |