| NPI | 1720187826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60037732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML20008507) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-05-21 |