| NPI | 1033381546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P3076) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A102498) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2026-07-13 |