| NPI | 1033167986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 84811) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA07843100) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WV 17922) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 31939) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: SC 20531) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AL 23877) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IA 29166) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-01-19 |