| NPI | 1124483292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX 48106) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 48106) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY P96128) | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2023-09-11 |