| NPI | 1619262755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S3050) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S3050) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S3050) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2025-03-04 |