| NPI | 1518933787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD70003332) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 68511) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 68511) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2025-07-22 |