| NPI | 1962656801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX R4605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 047007) |
| 207R00000X Internal Medicine (Licence: TX R4605) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301109241) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R4605) | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2022-01-25 |