| NPI | 1053602300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX q1550) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q1550) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2022028899) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2024-08-29 |