| NPI | 1023055803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60589898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-104485) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA md429897) | |
| 207R00000X Internal Medicine (Licence: WA MD60589898) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-03-07 |