| NPI | 1902034630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX Q9044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264598) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2022-04-12 |