| NPI | 1225128259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M9934) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00024770) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-04-18 |