| NPI | 1932391844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 30755) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 30755) |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: OK 30755) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 30755) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N5496) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2020-10-22 |