| NPI | 1134459514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N5498) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 30281) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2023-01-20 |