| NPI | 1952588535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX Q5696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 261244) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 261244) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q5696) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 261244) | |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2023-03-27 |