NPI | 1023023504 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH LT4431) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 12354) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 36416) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA07178200) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 030077) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 22820) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.13810R) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2005-0860) | |
Enumeration Date | 2006-07-30 |
Last Update Date | 2025-09-30 |