| NPI | 1144283805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0056382) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM 20020268) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J2409) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2018-07-12 |