| NPI | 1053594903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101256460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053209) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2020-10-07 |