| NPI | 1629165394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0028003) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101030820) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC 13557) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME48796) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 52103) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |