| NPI | 1861444911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD46909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A72063) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A72063) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-10-07 |