| NPI | 1568642361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX m9752) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M9752) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M9752) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2024-01-09 |