| NPI | 1437383080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R7795) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D83853) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2012027922) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME152207) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A170624) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2022-04-04 |