| NPI | 1235368390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 303263) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 303263) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P6028) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2021-07-08 |