| NPI | 1285683805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 36103) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00035268) |
| 207R00000X Internal Medicine (Licence: MT 36103) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00035268) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2019-06-10 |