| NPI | 1417301409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NM MD2025-1027) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX U3811) |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2025-11-12 |