| NPI | 1053631580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P2507) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10036775) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2024-07-01 |