| NPI | 1124064423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M-12911) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ID M-12911) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M0189) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2022-02-15 |