| NPI | 1376511873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX L4284) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP139) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY TP139) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2017024259) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-11-03 |