| NPI | 1073886875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S4697) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T2392) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2021-02-04 |