| NPI | 1144481367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX Q4513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11014458A) |
| 207R00000X Internal Medicine (Licence: KY 44175) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-07-12 |