| NPI | 1881031326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T0544) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A133165) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A133165) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T0544) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2025-08-29 |