| NPI | 1093754731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX S5404) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX S5404) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: MN 43185) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-09-25 |