| NPI | 1407893324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX R7474) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA 301496) |
| 207P00000X Emergency Medicine (Licence: GA 49296) | |
| 207P00000X Emergency Medicine (Licence: MD D0068293) | |
| 207P00000X Emergency Medicine (Licence: PA MD430927) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-05-28 |