| NPI | 1295153880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WA MD61145791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R9445) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 307858) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2022-05-03 |