| NPI | 1023096096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NM MD2013-0055) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036114868) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2013-09-11 |