| NPI | 1174753198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX R0026) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 076565) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2022-01-04 |