| NPI | 1891734083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX N5573) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX N5573) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: TX N5573) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-02-04 |