| NPI | 1306132196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2014021221) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 9003635-1205) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX BP10054986) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2024-08-07 |