| NPI | 1063578284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036-139340) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2011021984) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2021-12-21 |