| NPI | 1477596831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G72078) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G72078) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 33-0966615) | |
| 207R00000X Internal Medicine (Licence: CA G72078) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-02-11 |