| NPI | 1922283431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD60274565) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP00041) |
| 207R00000X Internal Medicine (Licence: WA MD60274565) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2019-10-10 |