| NPI | 1639557382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 288571) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 95915) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 3223) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID OC-0300) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036164590) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 05-47725) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY C1621) | |
| 207R00000X Internal Medicine (Licence: NY 2885711) | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2024-06-20 |