| NPI | 1710980826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX G6215) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101280656) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-12-05 |