| NPI | 1487827291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: HI MD-16468) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX R0717) |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2021-05-26 |