| NPI | 1275609588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A52952) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX P5121) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX P5121) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2015-11-19 |