| NPI | 1881770576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX G4267) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX G4267) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2024-05-06 |