| NPI | 1598290603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD216014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T2936) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2023-07-27 |