| NPI | 1467799353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX S0450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 051865) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2022-11-10 |