| NPI | 1457555021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N3805) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX BP3-0026823) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N3805) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2017-01-10 |