| NPI | 1063040582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036170786) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 69586) |
| 207R00000X Internal Medicine (Licence: MN 30732) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-07-08 |