| NPI | 1285936625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX R3509) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 14193490-1235) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036173571) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0037459) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2025-05-06 |