| NPI | 1023423118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 103514) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036143675) |
| 207R00000X Internal Medicine (Licence: IL 125065917) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2026-02-26 |