| NPI | 1295262129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX V0174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10060883) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2024-07-23 |