| NPI | 1184647018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX E8653) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX E8653) |
| 174400000X Specialist (Licence: TX E8653) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-01-23 |