| NPI | 1275978330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A132829) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 49450) |
| 207R00000X Internal Medicine (Licence: TX Q1588) | |
| 207R00000X Internal Medicine (Licence: CA A132829) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2021-06-30 |