| NPI | 1013987841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60653178) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101222166) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101222166) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2020-03-18 |