| NPI | 1346445442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S1330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.090088) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2021-11-01 |