| NPI | 1588186456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 13320150-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA R-11718) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10059587) | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2023-03-28 |