| NPI | 1275648529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX L9077) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX L9077) |
| 2086S0129X Surgery Vascular Surgery (Licence: TX L9077) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: TX L9077) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: TX L9077) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: TX L9077) | |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: TX L9077) | |
| 202K00000X Phlebology (Licence: TX L9077) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-06-13 |