NPI | 1629412895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD70006720) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD70006720) |
Enumeration Date | 2013-04-18 |
Last Update Date | 2025-09-19 |