| NPI | 1114372471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T6734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T6734) |
| 207R00000X Internal Medicine (Licence: TX BP10056268) | |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2022-04-21 |