| NPI | 1730446329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 73390) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 73390) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S2800) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2023-09-28 |