| NPI | 1609021161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX V0333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 5827) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101258674) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101258674) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX V0333) | |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2024-10-16 |