| NPI | 1841265717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL OS7161) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 060359) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX R5532) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: GA 060359) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX R5532) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2018-07-23 |