| NPI | 1083629786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A115614) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 230035) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M7415) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A115614) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2021-10-22 |