| NPI | 1225058357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME-32994) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC MMD51418MD) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2022-00625) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 7695) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD11877) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101031392) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD11472R) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-11-18 |