| NPI | 1063720993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036136434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 258620) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 258620) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2022-01039) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2023-03-22 |