| NPI | 1629175294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR or md11367) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA wa md00034597) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2022-02-04 |