| NPI | 1013108018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0088123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233500) |
| 207R00000X Internal Medicine (Licence: IL 036121540) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A117222) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2024-04-18 |