| NPI | 1215293311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D83790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 262258) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T2476) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2023-02-09 |