| NPI | 1699969287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C150276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 22763) |
| 207R00000X Internal Medicine (Licence: WA MD00047415) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 22763) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2020-03-02 |