| NPI | 1649260373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist (Licence: TX J6892) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J6892) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX J6892) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2024-05-10 |