| NPI | 1790903581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX Q7033) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 26772) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q7033) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-03-30 |