| NPI | 1417336199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX Q9710) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10052930) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q9710) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2025-08-19 |