| NPI | 1497977490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N0174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016291) |
| 207R00000X Internal Medicine (Licence: TX N0174) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2017-07-13 |