| NPI | 1235277377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60292217) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A97550) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 7214458-1205) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-12-06 |