| NPI | 1801016480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX Q4526) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 946669) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2012011863) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX Q4526) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2015-07-22 |