| NPI | 1992368146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S9032) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2025-02140) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S9032) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2026-08-17 |