| NPI | 1376830109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME113367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 113367) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S8950) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 336.083667) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61068195) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01084604A) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2021009894) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2022-10-06 |