| NPI | 1457627192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: UT 8215986-1251) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: UT 8215986-1252) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2021-10-20 |