| NPI | 1215259221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA 20A13480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N4980) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 006974) | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2022-07-21 |