| NPI | 1750594222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 5755333-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 5755333-1205) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MT188169) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2023-11-27 |