| NPI | 1235159195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX K0664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 133580) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 133580) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-01-09 |