| NPI | 1083871180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60359987) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 43452) |
| 207R00000X Internal Medicine (Licence: CA A98958) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A98958) | |
| Enumeration Date | 2008-05-18 |
| Last Update Date | 2015-10-26 |