| NPI | 1184983686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q9933) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043719) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2023-05-30 |