| NPI | 1164818464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T5552) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 56702) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-52370) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T5552) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 56702) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-52370) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2024-09-17 |