| NPI | 1245528215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S7554) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD462001) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD462001) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S7554) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2025-04-01 |