| NPI | 1942336516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME100382) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 036166001) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036166001) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 165820) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL ME100382) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 165820) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D87110) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2025-09-22 |