| NPI | 1477805919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T5927) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 48655) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 48655) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2022-11-14 |