| NPI | 1578706172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NM DO2022-0009) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q9718) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 34.015371) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2022-03-15 |