| NPI | 1245262377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX N0596) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: AL 26127) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX N0596) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-02-01 |