| NPI | 1407234776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX W2794) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX W2794) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 281539) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 281539) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 330448) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME177124) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME177124) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2026-08-27 |