| NPI | 1295029528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 10158730-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 10158730-1204) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2023-11-27 |