| NPI | 1487612214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: UT 186950-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: UT 186950-1205) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2023-11-27 |