| NPI | 1225260136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX U3775) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 56021) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101259763) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101259763) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 56021) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2024-03-07 |