| NPI | 1326293143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A136468) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A136468) |
| 207R00000X Internal Medicine (Licence: TX N3640) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2023-10-13 |