| NPI | 1487972964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ N4437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N4437) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N4437) | |
| 208000000X Pediatrics (Licence: TX N4437) | |
| 208M00000X Hospitalist (Licence: TX N4437) | |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2021-03-22 |