| NPI | 1134309479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60152903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 00000000) |
| 207R00000X Internal Medicine (Licence: WA 0000000) | |
| Enumeration Date | 2007-11-04 |
| Last Update Date | 2014-09-26 |