| NPI | 1609220656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX U5626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN22618) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2023-10-26 |