| NPI | 1164414017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: UT 187176-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: UT 187176-1205) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2015-01-20 |