| NPI | 1881853778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N4622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 33403) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2022-07-21 |