| NPI | 1245211879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX S2190) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 37151) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: KY 37151) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2023-03-23 |