| NPI | 1629360326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P4798) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10041336) |
| 207R00000X Internal Medicine (Licence: TX P4798) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2021-01-06 |