| NPI | 1740388396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR CP203988) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L7099) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 38037) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX L7099) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-06-14 |