| NPI | 1639132558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N5348) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N5348) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD439156) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA06950200) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-10-13 |