| NPI | 1134488281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OK 31974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10044544) |
| 207R00000X Internal Medicine (Licence: TX Q5769) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OK 31974) | |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2020-08-27 |