| NPI | 1740569227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R2804) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 82307) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2022-09-16 |