| NPI | 1932458502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P3245) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A119735) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P3245) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2016-12-29 |