| NPI | 1265732705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX U1551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11015368A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 20170007199) | |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2023-06-01 |