NPI | 1730447756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX Q3604) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD61521995) |
Enumeration Date | 2012-04-27 |
Last Update Date | 2025-05-18 |