| NPI | 1053739821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 10705078-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 10705078-1205) |
| 207R00000X Internal Medicine (Licence: CA A139602) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2024-02-15 |