| NPI | 1225091937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM 99142) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0049657) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX F0828) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2023-02-02 |