| NPI | 1003268079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T5546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-3105) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2022-06-06 |