| NPI | 1841083920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 14202047-1206) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: UT 14202047-1206) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-07-17 |