| NPI | 1932306651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX Q8996) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA08245700) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: TX Q8996) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA MD.204070) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2023-05-19 |