| NPI | 1962440701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E-7929) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA05045100) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 30125) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 9701266) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101050127) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD044769E) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2014-03-25 |