| NPI | 1144648684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T1711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 8138) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-10-02 |