| NPI | 1144297789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD153636) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD.MD.60636500) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 45227) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2026-08-05 |