| NPI | 1467457879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2021-01859) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J8088) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2021-01859) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX J8088) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2022-01-20 |