| NPI | 1790031276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.208006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.208006) |
| 207R00000X Internal Medicine (Licence: TX BP1-0043589) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.208006) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2024-01-02 |