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 |