| NPI | 1326032731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 20608) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 185739) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A49149) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 20608) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2022-06-06 |