| NPI | 1023236783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD22025) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G58715) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00037964) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2022-02-01 |