| NPI | 1417113945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N9429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N9429) |
| 207R00000X Internal Medicine (Licence: IL 125055078) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N9429) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-11-03 |