| NPI | 1952921371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX BP20086261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10070770) |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2023-06-26 |