| NPI | 1750336533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX H9164) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX H9164) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2025-09-25 |