| NPI | 1750335907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: UT 276504-1205) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OK 22276) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OK 22276) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-08-05 |