| NPI | 1861848749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX 47666) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267127) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX 47361) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2022-12-01 |