| NPI | 1992986475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA 60002596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99041) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2021-11-29 |