| NPI | 1366678203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T6505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 49137) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 49137) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T6505) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01078362A) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 70758) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 49137) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T6505) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2023-08-30 |