| NPI | 1184924391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX R0959) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208M00000X Hospitalist (Licence: CA A117851) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R0959) | |
| 207R00000X Internal Medicine (Licence: CA A117851) | |
| 174400000X Specialist (Licence: TX R0959) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2026-05-13 |