| NPI | 1093212821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX U8376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10063877) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 125078293) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-04-12 |