| NPI | 1164479473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G64336) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G643360) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2024-07-19 |