| NPI | 1073573903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A81459) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A81459) |
| 207R00000X Internal Medicine (Licence: WA MD61336437) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2024-10-03 |