| NPI | 1013204262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-135174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198824) |
| 207R00000X Internal Medicine (Licence: IL 036-135174) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2022-05-03 |