| NPI | 1689649303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N2781) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 23341) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 23341) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N2781) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2022-05-04 |