| NPI | 1730186610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX G2674) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NM MD2016-0640) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2016-0640) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX G2674) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX G2674) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2024-01-25 |