| NPI | 1326282716 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME128161)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO CDR.0003653)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 67054)  | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 68514)  | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35c.000585)  | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX U2252)  | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 48111)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036168124)  | |
| Enumeration Date | 2009-04-29 | 
| Last Update Date | 2024-05-14 |