| NPI | 1508058900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T2757) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34008631) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101016679) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T2757) | |
| 207R00000X Internal Medicine (Licence: IA 3806) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2023-04-13 |