| NPI | 1073847042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N8166) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034454) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2016-06-07 |