| NPI | 1275554446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00046763) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0070298) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A122356) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2017-03-21 |