| NPI | 1548280464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 46683) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 200765) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD 60408489) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P4487) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD 60408489) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 200765) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P4487) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 23782) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD212821) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-10-24 |