| NPI | 1952629255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME123808) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD472911) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N7171) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 57076) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2022-12-06 |