| NPI | 1356428650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N6312) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 48421-020) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036106584) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.202095) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N6312) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-07-15 |