| NPI | 1831115229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036142263) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00045107) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08868100) | |
| 207R00000X Internal Medicine (Licence: OR MD24558) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A79849) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 41394) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2023-08-10 |