| NPI | 1134459472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX Q3484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08532200) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2016-08-03 |