| NPI | 1043624026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 73370) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 73370) |
| 207R00000X Internal Medicine (Licence: IL 036142362) | |
| 207R00000X Internal Medicine (Licence: IL 336103741) | |
| 207R00000X Internal Medicine (Licence: IL 12506356) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2020-10-14 |