| NPI | 1376554691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX K9159) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K9159) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX K9159) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-11-15 |