| NPI | 1053808261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX BP20077354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10064492) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2021-07-19 |