| NPI | 1881720597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX U2885) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 47242) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 47631) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-05-15 |