| NPI | 1336583301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A142741) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10046662) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q2558) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2020-07-13 |