| NPI | 1215236799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T2075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A122835) |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: TX T2075) | |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: CA A122835) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T2075) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A122835) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A122835) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T2075) | |
| 208000000X Pediatrics (Licence: CA A122835) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2023-11-15 |