| NPI | 1184788416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P3910) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P3910) |
| 207R00000X Internal Medicine (Licence: PA MT184888) | |
| 207R00000X Internal Medicine (Licence: TX P3910) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 57.012986) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 243548) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2025-11-12 |