| NPI | 1306850227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX N7098) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036-114818) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX N7098) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-07-21 |