| NPI | 1326104738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD432138) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60733483) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60733483) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-11-01 |