| NPI | 1093704827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX L7835) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L7835) |
| 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: TX L7835) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: HI MD-25039) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2025-04-18 |