| NPI | 1336885615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX BP20093600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10079521) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2025-06-18 |