| NPI | 1639344310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P6615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57012461) |
| 207R00000X Internal Medicine (Licence: IL 036.123679) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2023-06-02 |