| NPI | 1710922125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX K8730) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D72339) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101055899) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA C164574) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-49360) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2024-11-06 |