| NPI | 1982652939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G-168143) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2020-0673) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY 5823A) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 3929) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD220295) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2025-06-27 |