| NPI | 1669528915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.206730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228777) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX BP1-0038347) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-03-22 |