| NPI | 1508041534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N6989) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N6989) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN ME120224) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY TP870) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME120224) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2023-03-28 |