| NPI | 1760508592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX M9140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004014105) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M9140) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX M9140) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-10-13 |