| NPI | 1871669564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX M8072) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M8072) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2023-00101) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2023-00101) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2025-08-27 |