| NPI | 1881784346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX E4313) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX E4313) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO R3J14) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-03-31 |