| NPI | 1225047046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N7151) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N7151) |
| 207R00000X Internal Medicine (Licence: KY 38682) | |
| 207R00000X Internal Medicine (Licence: TX N7151) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 38682) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 38682) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-11-09 |