| NPI | 1144343559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202C00000X Independent Medical Examiner (Licence: CA G31752) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G31752) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2025-09-11 |