| NPI | 1275731226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60472825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008033281) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD167157) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA a114856) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2022-07-21 |