| NPI | 1821288085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX U2108) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN MD47156) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX U2108) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2023-06-13 |