| NPI | 1134450737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01072775A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125052454) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2020-09-14 |