| NPI | 1649260324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2006-01703) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L9954) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-10-28 |