| NPI | 1659311207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2010-00361) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N1610) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 201000361) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-03-29 |