| NPI | 1306813787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX L1745) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2007009236) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L1745) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2019-07-11 |