| NPI | 1114107935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A101413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A101413) |
| 207R00000X Internal Medicine (Licence: IL 036122651) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2015-07-29 |