| NPI | 1053366013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M2523) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D67566) |
| 207R00000X Internal Medicine (Licence: TX M2523) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2016-06-16 |