| NPI | 1346398948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00016561) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G16875) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101234716) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |