| NPI | 1578770707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S2954) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2012-00363) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 39137) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-02-15 |