| NPI | 1649272923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX K4586) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-075421) |
| 174400000X Specialist (Licence: LA MC09647R) | |
| 174400000X Specialist (Licence: TX k4586) | |
| 174400000X Specialist (Licence: MO R6J98) | |
| 174400000X Specialist (Licence: NY 181909-1) | |
| 174400000X Specialist (Licence: KY 30929) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2025-05-07 |