| NPI | 1336320506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX N3309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD429213) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX N3309) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2019-12-18 |