| NPI | 1366898744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX R4491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10057673) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2023-08-17 |