| NPI | 1821260670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P3077) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 43793) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 239110) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2023-08-22 |