| NPI | 1750474078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX K8961) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 45986) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2025-07-02 |