| NPI | 1154716256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T4567) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T4567) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX T4567) | |
| 207R00000X Internal Medicine (Licence: TX T4567) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2026-02-18 |