| NPI | 1528486438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S2453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S2453) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S2453) | |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2025-12-17 |