| NPI | 1962720136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 10188154-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 10188154-1205) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 56039) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2021-04-13 |