| NPI | 1407992076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD60750871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228746) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA C166443) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MT 26096) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2022-09-22 |