| NPI | 1083898365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P3064) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 68545) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 68545) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX P3064) | |
| Enumeration Date | 2007-12-22 |
| Last Update Date | 2023-05-19 |