| NPI | 1003131533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A131253) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A131253) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S8856) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2023-12-12 |