| NPI | 1275680076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P2158) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: TN 42929) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P2158) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-08-18 |