| NPI | 1922186402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G76225) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 94746) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2023-01015) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 69326) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 175607) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA IMLC.MD.61407700) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 41042) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL TPME4726) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 89343) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.00698522) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD-13915) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2026-08-05 |