| NPI | 1770846115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T9738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101271647) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T9738) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101271647) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101271647) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2023-09-12 |