| NPI | 1194104398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61262180) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 61198) |
| 207R00000X Internal Medicine (Licence: TX U0730) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 61198) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX U0730) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2024-01-23 |