| NPI | 1356579783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A137201) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 137201) |
| 207R00000X Internal Medicine (Licence: NY 278017) | |
| 207R00000X Internal Medicine (Licence: LA 205208) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 278017) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 137201) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 205208) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2021-05-18 |