| NPI | 1477746840 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX R4360)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 216504)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R4360)  | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 216504)  | |
| Enumeration Date | 2007-08-20 | 
| Last Update Date | 2023-10-12 |