| NPI | 1598929317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 663660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D72826) |
| 207R00000X Internal Medicine (Licence: FL ME135750) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2022-09-27 |