| NPI | 1487828521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 234165) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N3829) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N3829) | |
| Enumeration Date | 2008-04-19 |
| Last Update Date | 2023-04-18 |