| NPI | 1619169596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0059266) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD165766) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N7065) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2018-03-17 |