| NPI | 1013224609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AL MD31925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054079) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2022-07-21 |