| NPI | 1558461970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 24506) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 29441) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN MD024506) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-02-14 |