| NPI | 1720388069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX H3015) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX H3015) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2023-10-23 |