| NPI | 1265624167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME154886) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C166106) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 072449) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX n2272) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 17861) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 76742-20) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD-21985) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2022-12-01 |