| NPI | 1629458989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 63745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10052929) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2024-10-15 |