| NPI | 1225490782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R9969) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0064804) |
| 207R00000X Internal Medicine (Licence: CO DR.0064804) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2023-06-27 |