| NPI | 1164736955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX Q3964) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX Q3964) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2024-07-11 |