| NPI | 1457555039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N1848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP2-0029544) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2011-08-18 |