| NPI | 1124108493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301506296) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M2993) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN Pending) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 43424) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-04-07 |