| NPI | 1669436325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L9235) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: TX L9235) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX L9235) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2017-01-31 |