| NPI | 1134797301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX BP10075287) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA DO-06709) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2024-05-02 |