| NPI | 1841277373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX K1977) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX K1977) |
| 208600000X Surgery (Licence: TX K1977) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2022-03-28 |