| NPI | 1275633216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A97444) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L5589) |
| 207R00000X Internal Medicine (Licence: TX L5589) | |
| 207R00000X Internal Medicine (Licence: CA A97444) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-12-09 |