| NPI | 1912142985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX R4698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD445400) |
| 207R00000X Internal Medicine (Licence: TX R4698) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101251759) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP714) | |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2024-05-21 |