| NPI | 1497869101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX Q3557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101249220) |
| 207R00000X Internal Medicine (Licence: MI 4301079749) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2022-02-03 |