| NPI | 1538629324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0092037) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX V8297) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX V8297) | |
| 207R00000X Internal Medicine (Licence: TX V8297) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-06-20 |