| NPI | 1891952917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S0587) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.204982) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2021-) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2021-03074) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2024-03-07 |