| NPI | 1922298868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME121540) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD470318) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD213644) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 60557) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2016-02243) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0063096) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 10764019-1205) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M-15885) | |
| 207R00000X Internal Medicine (Licence: FL ME121540) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C174805) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2025-11-13 |