| NPI | 1205847522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX H6917) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H6917) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX L05982) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2023-03-07 |