| NPI | 1295085892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX U0954) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 26243) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 26243) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2024-04-22 |