| NPI | 1104219161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T7229) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036156426) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T7229) | |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2022-06-05 |