| NPI | 1023064656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N7294) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036123894) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD15847) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-01-27 |