| NPI | 1417065269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD15265) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00034523) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G42062) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |