| NPI | 1316900665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60015400) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 034584) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M10532) | |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2012-08-02 |