| NPI | 1376955492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S9472) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 336235) |
| 207R00000X Internal Medicine (Licence: WI 65504) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2024-08-22 |