| NPI | 1285053041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A172231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A172231) |
| 207R00000X Internal Medicine (Licence: OR MD208537) | |
| 207R00000X Internal Medicine (Licence: TX BP10049998) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2024-04-24 |