| NPI | 1841546157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX R6181) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R6181) |
| 208M00000X Hospitalist (Licence: OH 35.125410) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2023-01-20 |