| NPI | 1063673515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036-120454) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.120454) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2015-02-20 |