| NPI | 1144666207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q8629) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL OS12844) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2023-03-28 |