| NPI | 1912188897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 47332) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 47332) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M1137) | |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2019-09-12 |