| NPI | 1043253693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO 2000164103) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX Q8904) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2023-05-06 |