| NPI | 1598723132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.149798) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J1407) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036373769) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 17226) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-11-06 |