| NPI | 1770019549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX V2992) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX BP30082216) |
| 207R00000X Internal Medicine (Licence: TX BP10060867) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-08-06 |