| NPI | 1386986446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CO DR.0066024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60577196) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2024-04-30 |