| NPI | 1912166752 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN MD52788) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P9379) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.204835) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 52788) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P9379) | |
| 207R00000X Internal Medicine (Licence: TN MD52788) | |
| 207R00000X Internal Medicine (Licence: TX BP10031992) | |
| 207R00000X Internal Medicine (Licence: LA MD.204835) | |
| 207R00000X Internal Medicine (Licence: TX P9379) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD52788) | |
| Enumeration Date | 2008-06-06 | 
| Last Update Date | 2023-03-02 |