| NPI | 1437591211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S8102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A131829) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2020-11-05 |