| NPI | 1992125751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX S3058) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WI 21253) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2025-06-06 |