| NPI | 1336660984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 31509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301113256) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX U3466) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2024-01-07 |