| NPI | 1417278714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R4271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 254671) |
| 207R00000X Internal Medicine (Licence: TX R4271) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2024-09-19 |