| NPI | 1902149909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 12773271-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301115708) |
| 208000000X Pediatrics (Licence: MI 4301115708) | |
| 207R00000X Internal Medicine (Licence: MI 4301115708) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2024-05-30 |