| NPI | 1851551238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 57504) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N3477) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N3477) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 57504) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2022-03-22 |