| NPI | 1235243825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00037718) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 52968) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2010-0802) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2021-06-08 |