| NPI | 1952392458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX R5982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-13787) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD043796) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2023-09-26 |