| NPI | 1033304431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 276146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-145405) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-145405) | |
| Enumeration Date | 2007-09-09 |
| Last Update Date | 2021-04-27 |