| NPI | 1598785321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P2067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E4625) |
| 207R00000X Internal Medicine (Licence: TX p2067) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-08-22 |