| NPI | 1497710461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 50168) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX K5013) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 37346) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-02-09 |