| NPI | 1518057884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX M1555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 230760) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 230760) | |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-10-07 |