NPI | 1821143595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00022247) |
Additional Taxonomies | 174400000X Specialist (Licence: WA MD0022247) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-12-01 |