| NPI | 1801889191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60450187) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME71401) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 32078) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2021-05-24 |