| NPI | 1407275290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T3369) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 305404-01) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-10-27 |