| NPI | 1568723922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A156332) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX Q3640) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CO 0068263) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A156332) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: UT 12745238-1205) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2022-04-13 |