| NPI | 1295770444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N2296) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N2296) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2005002904) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX N2296) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-03-23 |