| NPI | 1356952493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX BP10084447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT219746) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-05-07 |