| NPI | 1205270204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 308470) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q9059) |
| 207R00000X Internal Medicine (Licence: NY 308470) | |
| Enumeration Date | 2013-04-20 |
| Last Update Date | 2021-03-25 |