| NPI | 1972827806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A126187) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 56405) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A126187) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R8102) | |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2023-08-31 |