| NPI | 1225078579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C146229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00042338) |
| 207R00000X Internal Medicine (Licence: CA C146229) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00042338) | |
| 208000000X Pediatrics (Licence: CA C146229) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2024-04-22 |